Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Travis Gibson, MALPC

Individual provider Professional Counselor · NPI 1588817415

Justin Travis Gibson, MALPC is a Mental Health Counselor in Hurricane, West Virginia. Qualified in 2005, 21 years ago. Practices with Prestera Center for Mental Health Services Inc, a 45-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
21
Licensed in
WV
In the registry since
2008
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Practice location Address checks out

3738 Teays Valley Rd Ste B
Hurricane, WV 25526-9705
Phone: (304) 525-7851
Fax: (304) 525-1073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 511 Morris St, Charleston, WV 25301-1326 — (304) 525-7851

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 1914 (WV)

Record details

NPI number1588817415
Entity typeIndividual (Type 1)
GenderMale
Credentials MALPC
Sole proprietorNo
NPI enumeratedOctober 23, 2008
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Prestera Center For Mental Health Services Inc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hurricane